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Postoperative quality improvement — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Postoperative quality improvementUSMLE Step 3

A surgical service notes higher-than-expected central line infections after colorectal operations. Reviews show inconsistent sterile barrier use during line insertion. The team wants a durable process change. Which of the following is the most appropriate quality improvement measure?

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Correct answer: AImplement a central-line insertion checklist with audit and feedback

Checklists with audit and feedback improve adherence to evidence-based infection prevention processes.

Reference: AMA Code of Medical Ethics; AHRQ patient safety guidance